Itiliti Health
A better way to prior-authorize.
Overview
Itiliti Health focuses on solving the prior authorization problem by making payer rules and medical policies transparent and accessible to providers at the point of care. Their PA Checkpoint solution helps determine if an authorization is required before one is ever submitted, reducing unnecessary administrative work.
✨ Key Features
- Prior Authorization Requirement Check (PA Checkpoint)
- Medical Policy Transparency
- Automated Authorization Routing
- CMS Interoperability Rule Compliance
🎯 Key Differentiators
- Focus on upfront transparency of payer rules
- 'Is an auth required?' check to prevent unnecessary submissions
- Strong focus on helping payers meet CMS compliance mandates
Unique Value: Reduces administrative waste by making payer prior authorization rules clear and accessible upfront, eliminating unnecessary work for providers.
🎯 Use Cases (3)
✅ Best For
- Real-time check for prior authorization requirements
- Providing transparency into payer clinical policies
💡 Check With Vendor
Verify these considerations match your specific requirements:
- End-to-end claims management and billing
- Patient eligibility and benefits verification
🏆 Alternatives
Focuses on preventing the need for an authorization submission in the first place, rather than just automating the submission itself.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Enterprise tier)
🔒 Compliance & Security
💰 Pricing
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